Active NPI
Candice Marie Melara, OD
- Optometrist
- Aberdeen, WA
National Provider Identifier
1902916703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD00003840
- Practice address
- 207 S Chehalis St
Aberdeen, WA 98520-2945 - Phone
- (360) 533-2020
- Fax
- (360) 533-1978
- NPI assigned
- Aug 30, 2006
- Last updated
- Jun 8, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2933AT | OR | |
| Optometrist | 152W00000X | OD00003840 | WA | Primary |
Addresses
Primary practice location
207 S Chehalis St
Aberdeen, WA 98520-2945
Mailing address
207 S Chehalis St
Aberdeen, WA 98520-2945
Phone (360) 533-2020
Other names 1
- Candice Marie Sherwin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040621000455 | WA | Practitioner - Optometry | 5698757425 | Practice locations: Kelso, WA |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University Alabama Birmingham - School of Optometry, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1704 Allen St
Kelso, WA 98626-4907
Phone (360) 577-0606
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 32 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2933AT | OR | MD | Optometrist |
| OD00003840 | WA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Twin Harbors Eye Center PS | Past | Accepting new patients | |
| Twin Harbors Eye Center PS | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307491200000",
"number": "1902916703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 S CHEHALIS ST",
"city": "ABERDEEN",
"state": "WA",
"postal_code": "985202945",
"telephone_number": "360-533-2020",
"fax_number": "360-533-1978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 S CHEHALIS ST",
"city": "ABERDEEN",
"state": "WA",
"postal_code": "985202945",
"telephone_number": "360-533-2020",
"fax_number": "360-533-1978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELARA",
"first_name": "CANDICE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2011-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OR",
"license": "2933AT",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "OD00003840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CANDICE",
"last_name": "SHERWIN",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Aberdeen, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.